Recently, some hospitals, health systems, and medical groups have raised concerns about the impact of Medicare Advantage on their finances, with some terminating or threatening to terminate contracts with insurers over delays in payment, more restrictive coverage determinations, and payment rates. One issue that has recently drawn scrutiny from these groups has been Medicare Advantage plans’ practice of shifting hospitalized patients to “observation status,” which often means lower payments to hospitals and higher costs for patients. This data note examines the growth of Medicare Advantage as a share of hospital inpatient days between 2015 and 2022.
Read the full article: Medicare Advantage Enrollees Account for a Rising Share of Inpatient Hospital Days //
Source: https://www.kff.org/medicare/issue-brief/medicare-advantage-enrollees-account-for-a-rising-share-of-inpatient-hospital-days/